<p> SUNY GCC Tech Wars Scholarship Application of</p><p>Name ______Date ______</p><p>Home School ______</p><p>Please type or print in black ink</p><p>Return this application to: ACE Department, Genesee Community College, One College Road, Batavia, NY 14020. Attention: Scholarship Selection Committee</p><p>Scholarship Information</p><p>Eligibility Seniors from participating G.L.O.W. region school districts who have successfully competed in at least three years of SUNY GCC Tech Wars and are planning to move on to a career in a technology or related field or attend a post-secondary institution (academic or career and technology) are eligible to apply.</p><p>Criteria  $250 Scholarship will be awarded to one girl and one boy at the next Tech Wars Event on March 16, 2017 based on the following criteria:  Citizenship  Dedication to the technology field  Likelihood of success in a chosen field  Attendance</p><p>DUE DATE: February 10, 2017</p><p>SUNY GCC Tech Wars Serves the School Districts of:</p><p>Albion * Attica * Avon * Batavia * Byron-Bergen * Caledonia-Mumford * Dansville * Elba * Geneseo * Holley * Kendall * Keshequa * LeRoy * Letchworth * Livonia * Lyndonville * Medina * Mt. Morris * Oakfield-Alabama * Pavilion * Pembroke * Perry * Warsaw * Wayland-Cohocton * York Name ______</p><p>Street Address ______</p><p>City, Street, Zip Code ______</p><p>Telephone ( ) ______</p><p>Home School ______</p><p>Years competed in SUNY GCC Tech Wars ______</p><p>Events Competed in at SUNY GCC Tech Wars ______</p><p>______</p><p>______</p><p>______</p><p>Any awards won at SUNY GCC Tech Wars ______</p><p>______</p><p>Employment History Company Title Dates ______</p><p>______</p><p>______</p><p>Clubs, Activities or Community Service you are, or have been, involved in:</p><p>______</p><p>______</p><p>______</p><p>Special Honors or Recognition you have received</p><p>______</p><p>______References</p><p>List the names of Three References:</p><p>1. STEAM (Science, Technology, Engineering, Arts, or Math) Teacher ______</p><p>______</p><p>2. Home School Administrator, Counselor, or Teacher ______</p><p>______</p><p>3. Other (not related) of your choice ______</p><p>______</p><p>To the Applicant</p><p>1. The recommendation forms, or Reference Response Sheets, should be given to those individuals you have identified as being willing to write a recommendation for you.</p><p>2. The attached sheet, Request for Student Records, should be completed and signed by your School Counselor and forwarded to the ACE Department.</p><p>3. It is the responsibility of the applicant to advise all references, principals, guidance counselors, etc. of any deadline dates to forward requested materials. </p><p>After high school do you plan to (please check one):</p><p>Enter the world of work</p><p>Attend a career & technical school or trade school</p><p>Attend a 2 year academic school</p><p>Attend a 4 year academic school</p><p>If you know where you plan to work or attend a post-secondary institution, please list details: ______</p><p>______</p><p>______Career Goals: (this section handwritten, using black ink, in the space provided)</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______TO: School Counselor</p><p>FROM: Tech Wars Scholarship Applicant</p><p>SUBJECT: School Records Release</p><p>Please release my school transcript to my Technology Teacher, ______,</p><p>For inclusion in my Tech Wars scholarship application.</p><p>Thank you,</p><p>______Signature</p><p>______Date</p>